Kimberly Ann Russell
Kimberly Ann Russell is a Developmental Therapist in Lisle, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
5900 Oakwood Dr Apt 5FLisle, IL 60532-3009
Phone: (815) 508-4279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1326753526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2023 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 21, 2023 |
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